Provider Demographics
NPI:1962239178
Name:HUGHES, ALEXANDRIA SHAY'ANN (CNP)
Entity type:Individual
Prefix:
First Name:ALEXANDRIA
Middle Name:SHAY'ANN
Last Name:HUGHES
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7200 WALNUT GROVE LN N
Mailing Address - Street 2:
Mailing Address - City:MAPLE GROVE
Mailing Address - State:MN
Mailing Address - Zip Code:55311-1833
Mailing Address - Country:US
Mailing Address - Phone:612-437-3680
Mailing Address - Fax:
Practice Address - Street 1:190 CENTRAL AVE S
Practice Address - Street 2:
Practice Address - City:MILACA
Practice Address - State:MN
Practice Address - Zip Code:56353-1123
Practice Address - Country:US
Practice Address - Phone:320-983-9010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-19
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN11859363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily